BRUCE A. PRESTON (NPI# 1083768592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083768592 |
| Entity Type | Individual |
| Full Name | BRUCE A. PRESTON |
| Credential | CADCII QMHA |
| Practice Address |
9268 Se Clinton St Portland OR 97266-1456 |
| Mailing Address |
14332 Se Crystal Springs Blvd Portland OR 97236-5358 |
| Practice Telephone | 5038720480 |
| Practice Fax Number | 5038720481 |
| Mailing Telephone | 5037606167 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506533 | Bruce Edward Preston | Family Medicine | 805 N Kentucky St, West Plains, MO 65775-2022 | 2005-05-27 |
| 1124676895 | Bruce David Preston | Social Worker | 132 Holiday Court, Suite 209, Annapolis, MD 21401 | 2019-08-27 |
| 1164574893 | Bruce Alan Preston | Dentist | 4500 Hugh Howell Rd, Suite 310, Tucker, GA 30084-4723 | 2007-01-16 |
| Street Address |
9268 SE CLINTON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659507937 | Megan Irby | Case Manager/Care Coordinator | 9268 Se Clinton St, Portland, OR 97266-1456 | 2009-06-01 |
| 1184850455 | Simon Williams | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2009-06-01 |
| 1174777494 | Nathaniel Roberts Jr. | Case Manager/Care Coordinator | 9268 Se Clinton St, Portland, OR 97266-1456 | 2008-11-13 |
| 1598915902 | Christie Ann Fry | Adult Companion | 9268 Se Clinton St, Portland, OR 97266-1456 | 2008-09-22 |
| 1447444062 | John Jay Goodman | Student in an Organized Health Care Education/Training Program | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-08-28 |
| 1932230653 | Jala Akilah Waleed | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-03-07 |
| 1497899421 | Eric Reed Snow | Counselor | 9268 Se Clinton St, 2100 Se Belmont, Portland, OR 97266-1456 | 2007-02-15 |
| 1801939707 | Rebecca Leigh Rainy | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-02-14 |
| 1689714958 | Stephen Patrick O'sullivan | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-02-07 |
| 1497894075 | Richard R. Roell | Social Worker | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.